HomeMy WebLinkAbout2004-P08059 - demo PERMIT �`�` ��� �63�a-z �7
CfTY�O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 Posos9
Crystal Bay, Minnesota 55323 Permit Type: Demoi�non
(952) 249-4600 Date Issued: io�is�2ooa
SITE ADDRESS: 2665 Mapleridge La
EXCELSIOR,MN 55331
PID: 21-117-23-21-0004
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: Building Census Code 645
Permit Type: Demolirion Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
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m ist be abondoned. Insnection before backfilline.
FEE SUMMARY: Pernut Fee: $ 80.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: STEPHEN LONGMAN BUILDERS INC OWNER: C H SMOOT III&C A SMOOT
9401 Preston Place 2665 MAPLERIDGE LA
EDEN PRAIRIE,MN 55347 EXCELSIOR MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avulicant 1-Monthlv Revorts, 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions
1. You may be required to obtain other permits, i.e. well abandoiuninent, etc.
2. Work must not begin unless the permit card is available on the job site.
3. A 24 hour notice is required for all inspections. Call (612) 249-4600.
JOB SITE ADDRESS: o���S �G�`� ��d�� �—�k� _
Occupancy Type: �_Resideiltial Cormnercial
OWNER'S NAME: ��L �.�.,�d 1 k��S�w..e�,�s k LL G Phone: Co 1 a-- `�`�� a?� 7
Mailing Address: �L S� �'��o..'� �u���r l c�v t City: �c�e�. ro...���e �`�
�3Y�
CONTRACTOR'S NAME: S�'� �e�. �...�K vr..o-� 3����s � Bus.No.: �'iS a - 4 y 3-8aa �
MailingAddress: �'l�o � l�- � -� �. � �-c City: �c�eti. �o...���.c
SS�Y�
Deinolition if planned by means of: manual disassembly
_�heavy equipnient
Permits Issued:
# Well Abandonment
In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows:
1. The structure(s) shall be kept enclosed and/or secured until such time as deinolition is
complete.
2. Demolition debris will be kept off adjoining property and/or the public rights-of-way unless
specific prior approval is obtained in writing for temporary use thereof.
3. Foundations shall be completely removed from the ground.
4. All demolition debris shall be completely disposed of off site in accordance with all
; appiicable PCA requirements.
5. Water wells must be abandoned in accordance with State Health Department regulations.
6. Iilspection required when all debris has been removed,before backfilling.
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7. Within 5 working days of superstructure removal,a final inspection shall be requested. The
site shall be left clean and clear of all debris,with any excavation filled with earth level with
the adjacent ground elevation(except when such excavation is to be used as part of a new
building aizd such new building is actually under construction).
8. The undersigned owner shall and hereby does indemnify and hold harmless the City of
Orono, its agents, employees and assigns from and against all claims, damages, losses or
expenses,includiilg attorney fees, against the City,its agents,employees and assigns arising
out of or resulting from the demolition described herein as performed by the property owner,
his employees, agents, subcontractors or assigns.
9. Septic systems rnust be abandoned per Minnesota Rules Chapter 7080. All septic tanlcs must
be pumped,crushed and filled with native soils. An inspection is required after the tai�lcs are
pumped and before the tai�lcs are crushed and filled.
PERMIT TYPE AND FEE CALCULATION
� $50.00 - Principal Structure
� $30.00 -Accessory Structure
L Subtotal of above permit requested $ �� � � �
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 aUove) $ �� � S �
The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit, agrees to
do all worlc in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete,true and correct.
APPLICANT'S SIGNATURE: �-�s Date: �d - 7 " ° `r
OWNER'S SIGNATURE: ����- Date: ���� �°Y
APPROVED BY: � Date: 10 •I N- o�{
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1 (1 ✓
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�' DAT/�r / J TIME
,�;/ ITY OF ORONO � CALLED IN / r (�
`"` INSPECTION NOTICE ����S9SCHEDULED —1���4 ---�--
PERMIT N0. COMPLET
ADDRESS �'��'—� f 1` ���
OWNER CONTR. �l�L� �DY�,T�-
TELEPHONE N0. � :� � � 'Ct? �
� DESCRIPTION __ `� 'Z C�`�Z `r t� �� �-�-',
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU: � YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe ext inspection 24 hours in advance. (952) 249-46��
OwnerlContrac o c�n site:
Ins ector. �
P
Whiie Copyllnspect r's File Canary Copy/Site Notice